DR. MICHAEL STEVEN SHAPIRO PH.D.
NPI 1962483206
Psychologist - Health Service in Fayetteville, NC
NPI Status: Active since November 11, 2005
Contact Information
1601 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 678-0100
Fax: (910) 678-7022
- Individual
- Male
- Years of Experience 42
- Psychologist
- Health Service
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHAEL SHAPIRO
This page provides the complete NPI Profile along with additional information for Michael Shapiro, a provider established in Fayetteville, North Carolina with a medical specialization in Psychologist, focusing in health service and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1962483206 assigned on November 2005. The practitioner's primary taxonomy code is 103TH0100X with license number 5209 (NC). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1962483206
- Provider Name
- DR. MICHAEL STEVEN SHAPIRO PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1601 OWEN DR FAYETTEVILLE, NC 28304
- Location Phone
- (910) 678-0100
- Location Fax
- (910) 678-7022
- Mailing Address
- 1601 OWEN DR FAYETTEVILLE, NC 28304
- Mailing Phone
- (910) 678-0100
- Mailing Fax
- (910) 678-7022
- Medical School Name
- OTHER
- Graduation Year
- 1984
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-11-2005
- Last Update Date
- 01-17-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Health Service
- Taxonomy Code
- 103TH0100X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5209
- License State
- NC
- Taxonomy Description
- A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 5209 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael Shapiro is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Shapiro is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6002173069
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20171129001070
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of psychological or neuropsychological test, each additional 30 minutes
Administration of psychological or neuropsychological test, first 30 minutes
Evaluation of neuropsychological test, first hour
Psychiatric diagnostic evaluation
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
This service was performed 48 times for 14 patientsThis procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
This service was performed 24 times for 14 patientsAn evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
This service was performed 17 times for 14 patientsA psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 17 times for 16 patientsReviews for DR. MICHAEL STEVEN SHAPIRO PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 6 | 2 | 4 | 8 | 3 | 2 | 0 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 12 | 2 | 8 | 8 | 6 | 2 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 2 + 2 + 8 + 8 + 6 + 2 + 0 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1962483206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1013976646 | DAVID TAT DO Individual | Internal Medicine (Infectious Disease) | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1285732446 | MR. LENARD D SALZBERG MD Individual | Family Medicine | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1487753703 | DR. HOWARD HOPKINS LOUGHLIN MD Individual | Pediatrics | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1821183187 | MR. JAMES P LOEHR MD Individual | Pediatrics (Pediatric Cardiology) | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1467537464 | MS. DIANE LOUISE ZIMMERMAN EDD Individual | Psychologist | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1952469033 | DR. OFELIA MARIE MELLEY M.D. Individual | Family Medicine | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0105 |
1477611598 | DR. LORI ANNETTE HAIGLER M.D. Individual | Family Medicine | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0105 |
1447313697 | DR. DONALD CLINTON MAHARTY DO Individual | Family Medicine | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1821205550 | MS. SIRISHA SANGAVARAM M.D. Individual | Student in an Organized Health Care Education/Training Program | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1275712648 | DR. SUSAN MARIE MILLER PHARM D Individual | Pharmacist | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1013181569 | JAMES CONSTANTINE GEKAS MD Individual | Student in an Organized Health Care Education/Training Program | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1902060247 | DR. JUSTIN DANIEL PHARMD Individual | Pharmacist | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1932342292 | MR. JAMES HULL JR. PA Individual | Physician Assistant | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1972734028 | SWATI B PARIKH PHARM D Individual | Pharmacist | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1780910356 | SUSAN BASHEER PHARMD Individual | Pharmacist | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1033423207 | MEGAN GLANVILLE PHARMD Individual | Student in an Organized Health Care Education/Training Program | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1487946760 | NELLA MARGARITA GASTEAZORO-MCCRAW M.D. Individual | Student in an Organized Health Care Education/Training Program | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1730471020 | JONATHAN MCCRAW M.D. Individual | Student in an Organized Health Care Education/Training Program | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-0100 |
1467740720 | DAWN MARIE BATTISE Individual | Pharmacist | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 678-7230 |
1518229525 | JOHN MARTIN NOVALES MD Individual | Family Medicine | 1601 OWEN DR FAYETTEVILLE, NC 28304 (910) 323-1152 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962483206, enumerated in the NPI registry as an "individual" on November 11, 2005
The provider is located at 1601 Owen Dr Fayetteville, Nc 28304 and the phone number is (910) 678-0100
The provider's speciality is Psychologist with taxonomy code 103TH0100X with a focus in Health Service
The provider has more than 42 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
The most common procedures or services performed by this practitioner are: Administration of psychological or neuropsychological test, each additional 30 minutes, Administration of psychological or neuropsychological test, first 30 minutes, Evaluation of neuropsychological test, first hour and Psychiatric diagnostic evaluation.
This NPI record was last updated on November 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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